Bastidas, Myra Susan
Bastidas, Myra Susan is an individual health care provider with primary practice located at 4700 W Sunset Blvd , Los Angeles CA 90027-6082. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Bastidas, Myra Susan can be contacted via phone (323) 783-5611.Contact Information
Primary practice address
4700 W Sunset Blvd
Los Angeles CA 90027-6082
Phone: (323) 783-5611
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | A99110 | California |
Profile Details
| NPI number | 1760688394 |
|---|---|
| LBN Legal business name | Bastidas, Myra Susan |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 21st, 2007 |
| Last updated | Dec 6th, 2021 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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